30 March 2021>: Articles
A 73-Year-Old Woman with Respiratory Failure and Stimulus-Induced Rhythmic, Periodic, or Ictal Discharges (SIRPIDs) in the Absence of a Detectable Brain Insult Diagnosed and Monitored by Continuous Electroencephalogram (EEG) and Treated with Valproate, Carbamazepine, and Clonazepam
Rare disease
Adel M. Bataineh A* , Ahmed Yassin A , Khalid El-Salem D , Salma Y. Bashayreh D , Kefah A. Alhayk D , Majdi Al Qawasmeh C , Raid M. Kofahi F , Abdel-Hameed Al-Mistarehi ADOI: 10.12659/AJCR.930414
Am J Case Rep 2021; 22:e930414
Video 1. Continuous electroencephalogram monitoring showed an ictal-appearing activity from the left-brain side induced by painful stimulation and was associated with right upper limb jerky movements. The activity started over the left side, mainly in the left temporal lobe, as stimulus-induced rhythmic 5–6 Hz theta waves that evolved over time in amplitude (became higher), in sharpness (became sharper), in frequency (slowed down to rhythmic delta activity – stimulus-induced lateralized rhythmic delta activity ‘SI-LRDA’), and, later, in morphology (become spike and wave discharges).